Wheeler, John

Wheeler, John is an individual health care provider with primary practice located at 2160 S First Ave (Fahey Bldg., Rm. 270), Maywood IL 60153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Wheeler, John can be contacted via phone (708) 216-5102.

Contact Information

Primary practice address
2160 S First Ave (Fahey Bldg., Rm. 270) Maywood IL 60153
Phone: (708) 216-5102
Fax: (708) 216-1699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 36066551 Illinois

Profile Details

NPI number 1376519611
LBN Legal business name Wheeler, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Mar 5th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376519611 NPPES
Illinois MEDICAID 36066551

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